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so iron deficiency is i think the one of the biggest uh misconception is its correlation to uh anemia like both practitioners and patients uh you know relating it to the lack or presence or absence of anemia in in we know that that iron deficiency can happen and even in the absence of you know overt anemia in these patients and especially in the heart failure population and so the that leads on to a lot of uh misconception confusion and also a lot of times you know lack of overt bleeding or would end stage kidney disease or chronic kidney disease uh in absence of those comorbidities a lot of practitioners feel like maybe you know they donamp;#39;t suspect iron deficiency uh as being present in this population and then the lack of awareness about correlation with symptoms and especially in patients who are already on good medical therapy and still have symptom symptomatic ambulatory heart failure or even decomposed fully admitted to the hospital and they may not be aware of the